Individual provider Active NPI

Kerri Williamson, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1508332149
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58151 Issued in CA
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(302) 386-7767
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001258 DE
Physician Assistant 363A00000X PA9117380 FL
Physician Assistant 363A00000X PA58151 CA Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

20 Hidden Hills Dr
Seaford, DE 19973-8034

Other practice location 1

1125 Forrest Ave Ste 203
Dover, DE 19904-3483
Phone (302) 346-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240607003329 CA Practitioner - Physician Assistant 7517201718 Reassigns benefits to 1 organization
I20251104000247 FL Practitioner - Physician Assistant 7517201718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Bloomfield, NJ 07003-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA58151CAMDPhysician Assistant
PA9117380FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince Aug 23, 2025 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1508332149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIDDEN HILLS DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "302-386-7767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Forrest Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043483",
            "country_code": "US",
            "telephone_number": "302-346-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KERRI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001258",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117380",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.